Organization Active NPI

Verna Wafer Humphrey

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1013233170
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
73445 Issued in TX
Legal business name
VERNA WAFER HUMPHREY
Practice address
5402 Hirondel St
Houston, TX 77033-3133
Phone
(832) 276-4942
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Verna Wafer Humphrey, LMSWNPI 1407025190
Title
Social Worker/Owner
Phone
(832) 276-4942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 73445 TX
Community/Behavioral Health Agency 251S00000X 73445 TX Primary
Community/Behavioral Health Agency 251S00000X 37445 TX
Mental Illness Community Based Residential Treatment Facility 320800000X 37445 TX
Psychiatric Residential Treatment Facility 323P00000X 73445 TX

Addresses

Primary practice location

5402 Hirondel St
Houston, TX 77033-3133

Mailing address

2705 Crestwood Dr
Deer Park, TX 77536-3593
Phone (832) 276-4942

Other identifiers 1

IdentifierTypeStateIssuer
1822843MedicaidTX

Other names 1

  • In the Master's Arms Boarding &Theraputic Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1013233170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 CRESTWOOD DR",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775363593",
            "telephone_number": "832-276-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 HIRONDEL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770333133",
            "telephone_number": "832-276-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNA WAFER HUMPHREY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "VERNA",
        "authorized_official_middle_name": "WAFER",
        "authorized_official_title_or_position": "SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "832-276-4942",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "73445",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "73445",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "37445",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TX",
            "license": "37445",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "TX",
            "license": "73445",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1822843",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In the Master's Arms Boarding &Theraputic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.